Oesophageal cancer complicated by oesophagopulmonary fistula and lung abscess

Case contributed by Farhad Farzam
Diagnosis almost certain

Presentation

New onset fever, chest pain and cough.

Patient Data

Age: 60 years
Gender: Male

Circumferential mural thickening in the middle and distal oesophagus (known case of SCC).

Evidence of oesophageal fistula communicating with lung parenchyma in the left lower lobe resulting in abscesses formation.

Air space consolidatory changes in the left lower lobe.

Presence of oesophageal stent.

Case Discussion

Oesophageal malignancy is usually aggressive with poor prognosis. Eventually oesophageal carcinoma is complicated to esophago-respiratory fistula. Some patients present with direct tumour invasion to the neighbouring lung parenchyma and resulting in esophago-pulmonary fistula and subsequent lung abscess.

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